Haf o Hwyl / Summer of Fun
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Enw / Name of Child ? *
What weeks would you like to come to Theatr Clwyd this summer? (All are available but let us know if you can't make one of the weeks) *
Required
Dyddiad Geni / Date of Birth ? *
MM
/
DD
/
YYYY
Rhyw / Gender ? *
Siarad Cymraeg / Speak Welsh ? *
Required
Child Protection Register? *
Looked after Child? *
Child has been directed to attend summer activity? *
*
Access needs? Please outline the key information required to support the child, e.g. any behavior, social, emotional difficulties, mental health difficulties, safeguarding risks to themselves and others etc. *
It is important that we hold correct parental and placement address details and contact information in case of an emergency. It is the parent/career's responsibility to inform the nominated Lead Professional of any changes who will then notify the Summer Scheme. Please list details of all persons who hold parental responsibility and anyone else that you wish us to contact in an emergency. Place them in the order you wish them to be contacted. *
Name of Lead Professional ? *
Number for Lead Professional ? *
Email for Lead Professional ? *
Collection from summer scheme – complete the below indicating who has permission to collect child from the Summer Scheme and their relationship to the child. ID should be presented at time of collection. *
I do give my permission to use my child's image as detailed above / Rwyf yn rhoi caniatâd i ddefnyddio llun fy mhlentyn fel manylir uchod.
I understand that you will use the information provided above for communication purposes in relation to the SUMMER OF FUN and for support and welfare. I declare that the information I have given on this form is correct and complete. Theatr Clwyd, is a ‘data controller,’ this means we’re responsible for making sure your personal data is secure and used in an appropriate way. We will use the data you provide to ensure we communicate with you any activities/issues relating to our workshops and for welfare purposes. We will not share your data. For more information and to read our privacy policy please visit: www.theatrclwyd.com/en/privacy-policy. Rwyf yn deall y byddwch yn defnyddio’r wybodaeth yr wyf wedi’i rhoi uchod at bwrpas cyfathrebu mewn perthynas ar Brosiect HAF O HWYL ac ar gyfer diogelu a lles. Rwyf yn datgan bod y wybodaeth yr wyf wedi’i rhoi ar y ffurflen hon yn gywir ac yn gyflawn. Theatr Clwyd, yn 'rheolydd data'. Mae hyn yn golygu ein bod yn gyfrifol am wneud yn siŵr bod eich data personol yn ddiogel ac yn cael eu defnyddio mewn ffordd briodol. Byddwn yn defnyddio'r data rydych yn eu darparu i sicrhau bod y gwasanaeth a gynigir yn cael ei ddarparu. Ni fyddwn yn rhannu eich data. Am fwy o wybodaeth ac i ddarllen ein polisi preifatrwydd, ewch i: www.theatrclwyd.com/en/privacy-policy. *
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